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Research Article
Shelley Wilkinson
School of Human Movement and Nutrition Sciences, The University of Queensland, Queensland
Corresponding Author
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background:
Malnutrition, sarcopenia and cachexia are clinical wasting syndromes characterised by muscle loss. Systematic monitoring by body composition assessment (BCA) is recommended for the diagnosis, treatment and monitoring of the syndrome(s). However, limited literature exists regarding integration of BCA into routine practice. This study investigated practices, competency, and attitudes of Australian dietitians regarding BCA, to inform a local implementation process.
Methods:
Applying the Action cycle in the Knowledge to Action framework, surveys were distributed to the 26 dietitians in our department. The survey assessed barriers and enablers to performing routine BCA in clinical care. Results were categorised using the Theoretical Domains Framework (TDF) and suitable interventions mapped using the Behaviour Change Wheel.
Results:
Twenty-two dietitians (84.6%) completed the survey. Barriers to BCA were identified in all TDF domains. Enablers existed in domains of: Skills; Beliefs about consequences; Goals; Environmental context and resources; Social influences; Intentions; Optimism; Reinforcement.
Conclusions:
This study showed that hospital dietitians experience numerous individual, team, and organisational barriers to adopt BCAs in clinical practice. Information on barriers and enablers and implementation strategies have been suggested to overcome these barriers to assist BCA adoption into routine practice.
Keywords
barriers, body composition assessment, enablers, malnutrition, sarcopenia
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Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 01 Dec, 2020
No community comments so far
Editorial decision: Major revision
On 28 Dec, 2020
Reviews received
Received 06 Dec, 2020
Reviewers agreed
On 25 Nov, 2020
Reviewers invited
Invitations sent on 25 Nov, 2020
Editor assigned
On 25 Nov, 2020
Editor invited
On 24 Nov, 2020
Submission checks complete
On 24 Nov, 2020
First submitted
On 22 Nov, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
This preprint is under consideration at BMC Health Services Research. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research Article
Shelley Wilkinson
School of Human Movement and Nutrition Sciences, The University of Queensland, Queensland
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 01 Dec, 2020
No community comments so far
Editorial decision: Major revision
On 28 Dec, 2020
Reviews received
Received 06 Dec, 2020
Reviewers agreed
On 25 Nov, 2020
Reviewers invited
Invitations sent on 25 Nov, 2020
Editor assigned
On 25 Nov, 2020
Editor invited
On 24 Nov, 2020
Submission checks complete
On 24 Nov, 2020
First submitted
On 22 Nov, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background:
Malnutrition, sarcopenia and cachexia are clinical wasting syndromes characterised by muscle loss. Systematic monitoring by body composition assessment (BCA) is recommended for the diagnosis, treatment and monitoring of the syndrome(s). However, limited literature exists regarding integration of BCA into routine practice. This study investigated practices, competency, and attitudes of Australian dietitians regarding BCA, to inform a local implementation process.
Methods:
Applying the Action cycle in the Knowledge to Action framework, surveys were distributed to the 26 dietitians in our department. The survey assessed barriers and enablers to performing routine BCA in clinical care. Results were categorised using the Theoretical Domains Framework (TDF) and suitable interventions mapped using the Behaviour Change Wheel.
Results:
Twenty-two dietitians (84.6%) completed the survey. Barriers to BCA were identified in all TDF domains. Enablers existed in domains of: Skills; Beliefs about consequences; Goals; Environmental context and resources; Social influences; Intentions; Optimism; Reinforcement.
Conclusions:
This study showed that hospital dietitians experience numerous individual, team, and organisational barriers to adopt BCAs in clinical practice. Information on barriers and enablers and implementation strategies have been suggested to overcome these barriers to assist BCA adoption into routine practice.
Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
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